Death Certificate - Smith, Zeke R_3/19/2010, ,�. '"• �ou� r i �. nw.6.x u. Zeke R. Smith a SY�SwthM+*br 4 90 ��w�l��ti ❑TU �tCl:f.xri❑ Il fsGryl�me(VMtiuto�i 414 W. Spruce St z, �--��.�r�w Printeton c�r�uaS na.nzn Betty Smith IN � .d� �. 414 W. Spruce St. � Coilege 4 n. cam � r+cn��.a em� tnp Ralph Hewitt Smith -_-:..-�: �— letty Smith • INDIAtdA STATE DEPARTMEN� HEALTH CERTIFICATE OF DEA 1lKa � P�IS I Yv�� �F ...n.+iw•�: t i7 Ee�+cf u:1�uR OUC4< 0 iw m e 1'�) w, ia'.vs�...uren Dorsey Gibson -=-�-c .��—a-� I No ��'.7fia State N Ir fr � Mala 06:24 PPA � � mO1bmG . rl P . November 2, 1919 Gin �n�.adrmCM.M4 i+aW Rcalrrl'�Wne �14vnNmdlanTrmfs �Engineer :� ,� Princeton 350522 22, 2010 �.e� k�...w C� a..�� 47670 � ��` ��' ( White n iuev.wa• .N.une,.l�o �svr Lena Smith Martin � .� . . iTi2'3. w 414 W. Spruce St., Princeton, IN 47670 �`-"' c`'�'°� ��°'� `"'Y"�' � Columbia "White" Church Cemetery � Princeton IN J?.cwsFr Je ❑ �"n{5(tG!(( rc na�nnsr/w�.Ma�l� ��w�rw0 SM1 ive�l�.a�nv.vi>nl^ �""°"'""""`""°" " Colvin Funeral Home, lnc. FH83005671 �"° �" � 425 North Main Street, Princetan, IN 47670- FH83005671 �,.s� ,.,wr ,—„1-- �'7 t,a ua.n.n.w.�niio....�: �p<j�l��L�`u � FD01009940 �w�e or oe,u. �see i�nwc��� a,a ��.a�as� id. Fst I. "crtu T.x Cia�n C/'c.x�:s-Distssus, lrjv:es. Q Coma:yan-i:�C Oi:enty Ca�seE Tha Dea:� Oo �a Ere�r Txrnwi'rxrts a»r_c.x.e �w:. Cs Cxau: Mri Pewzxp' Pma � virSrbkr nSr.9e•: m Wu�.S�wx i re CUab�7y. 6�i fvk Ruore�+ue. Em•r Ony R�e Caiae On irtenal' Qsc� A tme. >0! AJmtaYwl lfea Q�txssmY. - 1 c Ue.-c� �;«:sca�.r�a�ac�� �n�.,r��., .. A���.�-�csc%ii-Efr�- i�c.flsv� �vcyolr'i y-pr-�its �.:��.��K Soprr.'.atytis: Cwbara. Y ArcJ. Leaacq So Tte G�ss lish� On ° — V A. �v'Uwl!?�m3Wv.�("J�tt1'ItT/yiTtl,Mas9 .i✓.si.iN��IISIrO.r. it�e E�rnn Rz•+isx9ln OeW:I Las C ❑ v.. C °a.'4;d'�� Onan N �Nw YN10mf�W :� a�, oc...co :-wn.�w ❑a..�N n �m. om�w.� ___- ��trmt' � O �o ❑ �b ❑:�..c.�ti a�.�. a:.,..Mom.c.-�a �!t�ir-L�LJ'hY' L-"✓ /l/ "V ✓�:�'l�� y� �°,h�e�rn0 caaw � reta._dn. a tmwww+ �T�Tin.Ta�ia-- �3x.�.�ean�a�,;maaa�a,�•crows�aa�a o-�, Lj q %-•/�-EGlo William Houser MD 4015 Gateway Bivd., 3rd fiaor, Newburgh, IN 47630 i �1 .����•�.y.�.��. --- ---- _ I„'�- _.. — .� .R�... � �.� G. j�.�.�� ,•% �' j t j rz �`� ,/. ;� �; i �� i saro.xeroi:a�ac5ory=rucn,-::.:c''...�.�,a�.�.ar.-�a-:nrro-r�v.c+.o..�.......m..�x.x'��.=..+++.r.rn �.eas>.rrvw.*�z:rc...��..,.a=+'.s.�-.ax�+aer�u�tae:.a�;.u, ! IVFiA-20 —.__— ___. __ _...... ............._...... (7/OS) �� �� 1 I�'�' 1 Im' �' � � ' � 17�1111111•J��l'L7J1'.Lt1Ll.LL